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License and Supply Agreement, Net (Details Narrative) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Apr. 23, 2012
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Sep. 30, 2013
Long-term intangible asset   $ 2,250   $ 2,250      
License and supply agreement, net   837   837   $ 938  
Accumulated amortization   (31)   (31)      
Amortization expense   10   31      
Interest expense   $ 1 $ 13    
Royalty expense   82 48        
Accounts payable   82   82   50  
Cost of Goods Sold [Member]              
Royalty expense       190 113    
License and Supply Agreement [Member]              
Accumulated amortization   1,413   1,413   $ 1,312  
Amortization expense   $ 34 $ 34 $ 101 $ 101    
Medica S.p.A. [Member]              
Expiration term of license agreement Dec. 31, 2025            
Debt instrument, interest rate, stated percentage             12.00%
Medica [Member] | License and Supply Agreement [Member] | April 23, 2014 through December 31, 2025 [Member]              
Royalty rate       3.00%